
	<form id="registerForm" autocomplete="off" method="post" action="https://secure2.plationline.ro/trans30.asp">
		<?php  echo $ret;?>
		<input type="text" name="f_login" value="<?php echo $LoginID;?>">
		<input type="text" name="f_show_form" value="1">
		<input type="text" name="f_amount" value="<?php echo $amount?>">
		<input type="text" name="f_currency" value="<?php  echo $currency;?>">
		<input type="text" name="f_order_number" value="<?php echo $OrderNumber;?>">
		<input type="text" name="F_Language" value="ro" >
		<input type="text" name="F_Lang" value="ro">
		<input type="text" name="f_order_string" value="<descriere">
		<input type="text" name="f_first_name" id="f_first_name" value="fn">
		<input type="text" name="f_last_name" id="f_last_name" value="ln">
		<input type="text" name="f_cnp" value="cnp">
		<input type="text" name="f_address" id="f_address" value=f_address>
		<input type="text" name="f_city" id="f_city" value="f_city">
		<input type="text" name="f_state" id="f_state" value="f_state">
		<input type="text" name="f_zip" id="f_zip" value="f_zip">
		<input type="text" name="f_country" id="f_country" value="f_country">
		<input type="text" name="f_phone" id="f_phone" value="f_phone">
		<input type="text" name="f_email" id="f_email" value="f_email">
		<input type="text" name="f_company" value="f_company">
		<input type="text" name="f_reg_com" value="f_reg_com">
		<input type="text" name="f_cui" value="f_cui">
<!-- daca e test mode START here -->
		<input type="hidden" name="f_Test_Request" value="1">
<!-- daca e test mode END here -->
		<input type="submit" value="Plateste" />
	</form>